| NPI | 1659927754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011187) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MD LGP7977) |
| 101YP2500X Counselor, Professional (Licence: DE PC-0011187) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-03-08 |